Search › Minnesota › 1223G0001X
Breynne Fordahl, D.D.S
NPI 1790795235 · on the registry since 2006
Practice
- Address
- 14727 60th St. N
Stillwater, MN 55082 - Phone
- (651) 439-9060
- Fax
- (651) 379-9893
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota